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1710199518
JOSE MIGUEL BONIFACIO
NEW YORK, NY
NPI
1710199518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 048570)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
JOSE MIGUEL BONIFACIO
651 ACADEMY ST
NEW YORK, NY 10034-5003
Phone number: 212-942-0043
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Mailing Address
JOSE MIGUEL BONIFACIO
2254 CEDAR AVENUE # 1A
BRONX, NY 10468
Phone number: 212-942-0043
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